Occurrence of post- operative complications in relation to the two types of surgeries; Phacoemulsification and small incision cataract surgery

2019 ◽  
Vol 10 (2) ◽  
pp. 31-37
Author(s):  
Kripalini SH ◽  
◽  
Kirthana V Achar ◽  
Keyword(s):  
Cataract Surgery ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Operative Complications ◽  
Post Operative Complications

Comparison of Complications between Manual Small Incision Cataract Surgery and Phacoemulsification

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Israr Ahmed Bhutto ◽  
Maria Nazish Memon ◽  
Irshad Ali ◽  
Abdul Qadeem Soomro ◽  
Abdul Haleem Mirani
Keyword(s):  
Cataract Surgery ◽  
Senile Cataract ◽  
P Value ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Group I ◽  
Significant Difference ◽  
Operative Complications ◽  
Group Ii ◽  
Post Operative Complications

Purpose:  To compare per-operative and early post-operative complications between Manual Small Incision cataract surgery and Phacoemulsification in patients with Senile Cataract. Study Design:  Quasi experimental study. Place and Duration of Study:  Al-Ibrahim Eye Hospital Karachi from December 2018 to October 2019. Methods:  Two hundred and seventy patients with senile Cataract were recruited for this study by convenient sampling technique. They were divided equally into two groups. Group I underwent Manual Small Incision Cataract Surgery (MSICS), whereas Group II underwent Phacoemulsification. Per-operative and early post-operative complications were recorded on day 1 in both groups. Data was analyzed using SPSS 24.0. Independent t-test was carried out with P-value of ?0.05 was considered statistically significant. Results:  Mean age group – I was 54.95 ± 11.0 and in Group – II was 57.09 ± 10.59 (p = 0.546). There were 72 (53.3%) males in group – I and 74 (54.8%) in group – II with a non-significant difference (p-value > 0.01). There was significant difference for posterior capsule rupture and striate keratitis between the two groups (p = 0.031 and 0.044 respectively). Rest of the study parameters was not statistically different in the both group. None of the groups had a nucleus drop and vitreous prolapse. No significant difference was seen between the two groups concerning iris trauma (p = 0.56), wound leakage (p = 0.15) and hyphema (p = 0.32). Conclusion:  There is no significant difference between per-operative and early post-operative complications between MSICS and Phacoemulsification in patients with senile cataract except posterior capsular rupture and striate keratopathy which were more common in phacoemulsification group. Key Words:  Cataract, Senile Cataract, Phacoemulsification, Small Incision Cataract Surgery.

scholarly journals Loupe Magnification for Small Incision Cataract Surgery - an Alternative to Microscope Magnification?

2008 ◽  
Vol 47 (172) ◽  
Author(s):  
Sanjay Kumar Singh ◽  
I Winter ◽  
A Hennig
Keyword(s):  
Developing Countries ◽  
Visual Acuity ◽  
Cataract Surgery ◽  
Visual Outcome ◽  
Controlled Study ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Randomized Controlled ◽  
Operative Complications ◽  
Loupe Magnification

A Prospective randomized controlled study was conducted to compare outcome of Small IncisionCataract Surgery (SICS) using microscope or loupe magnification.Two hundred fifty one patient with mature cataract were randomly allocated to SICS-FishhookTechnique with either microscope (127 eyes) or loupe (124 eyes) magnification. Intra- andpostoperative complications and immediate visual outcome were analyzed.Nearly two third (microscope 65% and magnifying loupe 62.9%) of all patients had good visualoutcome on first postoperative day. Poor outcome (<6/60) was recorded in 8% (microscope group)and 7% (magnifying loupe group). Mean visual acuity with Snellen was 0.39 (SD 0.2) in microscopegroup and 0.38 (SD 0.2) in magnifying loupe group. Intra operative complications were comparablein both groups. Mean surgery time with loupe magnification was significantly shorter.Comparatively equivalent good surgical outcome was achieved with loupe as well as with microscopemagnification. However performing SICS with loupe magnification is significantly faster. Smallincision cataract surgery with loupe magnification is safe and effective procedure for cataract surgeryso it can play a role in reducing cataract blindness in developing countries of the world.Key words: loupe, magnification, microscopic, cataract, surgery

scholarly journals Intra-Operative and Immediate Post-Operative Complications of Cataract Surgery in an Eye Camp

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Asad Azeem Mirza ◽  
Saba Al Khairy ◽  
Mazhar- Ul-Hassan ◽  
Shahid Azeem Mirza ◽  
Saad Aslam ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Cataract Extraction ◽  
P Value ◽  
Extracapsular Cataract Extraction ◽  
Small Incision Cataract Surgery ◽  
Common Procedure ◽  
Cross Sectional ◽  
Operative Complication ◽  
Operative Complications ◽  
Post Operative Complications

Purpose: To analyze the intra-operative and immediate post-operative complications in patients after cataractsurgery in an eye camp.Study Design: Descriptive cross-sectional study.Place and Duration of Study: The study was conducted in a village of Nawabshah, Sindh, Pakistan from 7th to9th of February 2020.Material and Methods: Fifteen hundred patients were screened for visual disabilities of which 150 were selectedfor the study. They had a visual acuity of less than 6/9 in one or both eyes and had a cataract. The selectedpatients were operated using either phacoemulsification, extracapsular cataract extraction ECCE), intracapsularcataract extraction (ICCE) or small incision cataract surgery (SICS). The immediate intra-operative as well aspost-operative complications on day 1 after surgery were observed.Results: One hundred and fifty patients were operated. Age ranged from 14 years to 90 years, males were58.7% and females were 41.3%. The most common procedure performed was phacoemulsification 51.3%,followed by ECCE 30.0%, then SICS 18.0% and ICCE 0.7%. The most common intra-operative complication wasposterior capsule rent and the most common post-operative complication was striate keratopathy which was seenin 14.0% individuals. There was a significant association found for post-operative complications with gender withfemales having more post-operative complications as compared to males (P-value = 0.001 < 0.001).Conclusion: Camp surgeries when performed with strict sterilization and in experienced hands can play animportant role in treating cataract, which is the commonest cause of preventable blindness in developingcountries

scholarly journals Study of Outcome of High Volume Manual Small Incision Cataract Surgery and Complications in Garhwal Himalayan Region

2019 ◽  
pp. 1-7
Author(s):  
Achyut N. Pandey ◽  
Manoj Tyagi
Keyword(s):  
Cataract Surgery ◽  
High Volume ◽  
T Test ◽  
Himalayan Region ◽  
P Value ◽  
Care Hospital ◽  
Small Incision ◽  
Operative Complications ◽  
Low Volume ◽  
Post Operative Complications

Aim of the Study: To compare High Volume with Low Volume Cataract Surgery Outcomes in a tertiary eye care hospital in Garhwal Himalayan Region, over a 30-day period, in terms of Quality as gauged in terms of Intra-operative complications and their management and Post-operative complications and their management (on day 1 and day 30). Materials and Methods: A prospective, randomized, observational study conducted on 300 eyes of 300 patients at a tertiary hospital, total duration of 4 months was taken for data collection. Patients were divided into 2 groups: A) those coming in the low volume season (summer months) and B) those coming in the high volume season (winter months). Normal standard protocols were followed pre/per/post operatively. Results: Intra-operative complications between the two months (settings) by independent t-test the p value was 1.00 which was not statistically significant (mean of complication: August=0.86+1.83; December=0.86 + 1.29). 1 month post-operative complications between the two months (settings) by independent t-test the p value was 0.56 which was not statistically significant (mean of complication: August=0.09 + 0.30; December=0.18 + 0.4). Conclusion: Intra-operative, post-operative complications on 1st day and at one month follow up, High Volume Cataract Surgery (greaterthan 40 Manual Small Incision Cataract surgeries) does not affect the quality when compared with Low Volume Cataract Surgery over a 30-days period in a tertiary institute in Central India.

STUDY OF INTRAOPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING SMALL INCISION CATARACT SURGERY AT A TERTIARY CARE CENTRE: A DESCRIPTIVE STUDY

2021 ◽  
pp. 73-76
Author(s):  
Uday S. Mohite ◽  
Aayushi Anil Agrawal
Keyword(s):  
Cataract Surgery ◽  
Intraoperative Complications ◽  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Small Incision Cataract Surgery ◽  
Female Ratio ◽  
Small Incision ◽  
Operative Complications

Background: In India,Cataract is the leading cause of avoidable blindness.2 and cataract surgery forms the major workload of most ophthalmic units in the country. An estimated 4 million people become blind because of cataract every year,3 which is added to a backlog of 10 million operable cataracts in India, whereas only 5 million cataract surgeries are performed annually in the country.4 Thus, a technique of cataract surgery that is not only safe and effective but also economical and easy for the majority of ophthalmologists. It is estimated that about 25% of poor outcomes of cataract operations performed in developing countries annually are due to surgical complications.19 Minimizing intraoperative complications of cataract surgery is an important step towards eliminating visual impairment caused by such complications. Aim & Objective:1. To study intra-operative complications of manual small incision cataract surgery. 2. To study the visual outcome in patients of intra-operative complications following its management. Methods: Prospective cross sectional study, Study setting: Ophthalmology Department of tertiary care centre Study Duration: 2 years (October 2018 to December 2020).Study population: All patients with cataract requiring surgery admitted in tertiary care center Sample Size: 700 Results: Majority of study subjects belongs to age group 41 -40 years contributing 511 cases (73%) followed by age group 65 yrs and more 133 (19%),16-40 age group 35 (5%) and 15 years or less 21 (3%) respectively. males contributing 390 cases (55.71%) followed by females 310 cases (44.29%).Male: Female ratio is 1.25: 1. preoperative visual acuity in operated eye is in the range of < 3 /60 - Perception to light (PLPR) in majority of subjects contributing 497 cases (71%) followed by 161 cases (23%) in between < 6/ 60 - 3 /60 group, 35 cases (5%) in < 6 /18 to 6 /60 group and 7 cases (1 %) in 6 /18 or better group respectively. most common intraoperative complication was posterior capsular rent contributing 19 cases (2.71%) followed by iris prolapse 14 cases (2%), premature entry 10(1.43%), Descemet's membrane stripping 10 (1.43%), intraoperative hyphaema 8 (1.14%), capsular extension in 7 cases(1%) Iridodialysis in 5 (0.71%) and zonular dialysis in 5(0.57%) respectively Conclusions: Rate of complication was higher in hypermature type of cataract .There was no statistical signicant association between age and intraoperative complications.

Comparison of Manual Small Incision Cataract Surgery between the Patients of Cataract with Pseudoexfoliation and Those without Pseudoexfoliation

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Priyanka Yadav ◽  
Yashas Goyal ◽  
Lubhavni Dewan ◽  
Nitin Nema
Keyword(s):  
Risk Factors ◽  
Cataract Surgery ◽  
Visual Outcome ◽  
Control Group ◽  
Posterior Chamber ◽  
Preoperative Risk ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Preoperative Risk Factors ◽  
Operative Complications

Purpose:  To compare the risk factors, intraoperative complications and postoperative visual outcome between patients of cataract with pseudoexfoliation (PXF) and those without pseudoexfoliation undergoing manual small incision cataract surgery (MSICS) with posterior chamber intra ocular lens implantation. Study Design:  Quasi experimental study. Place and Duration of Study: Methods:  Fifty-six eyes of patients with cataract and PXF and 56 eyes of patients with cataract without PXF were recruited. Complete history and ocular examination was performed. Pre-operative pupillary dilation of the eye to be operated was measured. Manual small incision cataract surgery was performed with implantation of posterior chamber intraocular lens. Patients were examined on 1st post-operative day then on45th day. Risk factors for per-operative complications and visual outcomes were compared between two groups. Results:  Mean age in the PXF group was 55 ± 5 years and in the control group was 45 ± 5 years. PXF group showed female preponderance. Preoperative risk factors (higher in the PXF group) included poor pupillary dilatation, iridodonesis, zonular weakness/phacodonesis and subluxation. PXF was associated with raised intraocular pressure (10.6%). In 5% cases of PXF, intraoperative posterior capsular rent and vitreous loss occurred. Best-corrected visual acuity on the 45th postoperative day was significantly better in patients without PXF (p-value < 0.05). Conclusion:  Cataract patients with PXF have higher preoperative risk factors for intra-operative complications as compared to patients without PXF. This can result in compromised visual outcome as compared to the eyes without PXF. Key Words:  Cataract, Pseudoexfoliation, manual small incision cataract surgery, iridodonesis, phacodonesis.

Safety and Efficacy of Temporal Manual Small Incision Cataract Surgery in India

2011 ◽  
Vol 21 (6) ◽  
pp. 748-753 ◽  
Author(s):  
Swati V. Zawar ◽  
Parikshit Gogate
Keyword(s):  
Visual Acuity ◽  
Cataract Surgery ◽  
Corneal Edema ◽  
Posterior Chamber ◽  
Small Incision Cataract Surgery ◽  
Safety And Efficacy ◽  
Excellent Outcome ◽  
Sutureless Technique ◽  
Small Incision ◽  
Sandwich Method

Purpose. To assess safety and efficacy of temporal manual small incision cataract surgery (SICS) in context to visual outcome, astigmatism, and complications. Methods. This involved sclerocorneal tunnel, capsulotomy and hydrodissection. The incision was made with number 11 disposable surgical blade (costing Indian Rs. 2.50, $0.05). Nucleus extraction was done by phaco-sandwich method with the help of vectis and dialer. Posterior chamber intraocular lens implantation was done according to biometric findings. A record of intraoperative and postoperative complications was made. The final postoperative assessment of astigmatism was done with spectacle correction on the 45th day as per the refraction findings. Results. Two thousand eyes were operated by temporal, manual small incision sutureless technique. Uncorrected visual acuity was ≥6/18 in 1636 (81.7%) patients on the first postoperative day, in 1652 (82.6%) patients at 2 weeks, and in 1732 (88.6%) patients at 6 weeks. Best-corrected visual acuity (BCVA) ≥6/18 was achieved in 1868 (93.4%) patients at 6 weeks, with 46 (2.3%) having BCVA <6/60, 24 (1.2%) of whom had preexisting retinal pathology. At 6 weeks, 1876 (93.8%) eyes had with-the-rule and 134 (6.2%) against-the-rule astigmatism (mean 0.7±1.25 D). Iris prolapse was noted in 3 (0.15%), wound leak in 3 (0.15%), and transient corneal edema in 136 (6.8%) eyes. Average surgery time was 6 minutes. Conclusions. Temporal SICS with number 11 disposable surgical blade and nucleus delivery by phaco-sandwich method gave excellent outcome with minimal astigmatism and low complication rate at economic cost.

Postoperative Complications after Phacoemulsification and Implantation of Foldable Acrylic Intraocular Lenses in Dogs

2021 ◽  
Author(s):  
Babita Das ◽  
Apra Shahi ◽  
Vishnu Pratap Chandrapuria ◽  
Shobha Jawre ◽  
Madhu Swamy ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Cataract Surgery ◽  
Postoperative Complication ◽  
Corneal Opacity ◽  
Intraocular Lenses ◽  
Major Postoperative Complication ◽  
Ophthalmic Pathology ◽  
Cataractous Lens ◽  
Operative Complications ◽  
Post Operative Complications

Background: Despite significant advances in canine cataract surgery over the years, many post-operative complications persist and reduces the success rate of phacoemulsification procedure. The aim of current study was to evaluate post-operative complications encountered till 90 days after bimanual phacoemulsification with implantation of different acrylic Intraocular Lenses.Methods: The study was conducted on 24 canine eyes. All the clinical cases were subjected to detailed ocular, ultrasonography and neuro-ophthalmic tests for ascertaining cataract and associated neuro-ophthalmic pathology. Dogs were divided in four groups with 6 eyes in each group and subjected to phacoemulsification procedure for removal of cataractous lens and implanted with square edge or round edge hydrophilic or hydrophobicintra ocular lenses.Result: Statistically non-significant (p£0.05) variations were found for all the post- operative complications among the groups. Within the groups initially higher values were recorded and on subsequent days a declining trend of varying degrees were observed. The corneal opacity was a major postoperative complication leading to failure to achieve vision with other coinciding neuro-ophthalmic conditions.

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